At Buckeye, maintaining our trusted partnership with our providers is a top priority. Our goal is to furnish you and your staff with the necessary tools and services to provide the highest quality healthcare to Buckeye enrolled members.
Our excellent Provider Services team is ready and available to answer your questions. They are your first stop in your quest to find answers. You can contact Provider Services at 1-866-296-8731 Monday - Friday 7 a.m. to 8 p.m.
Provider Engagement Administrators
Our Provider Engagement Administrators (PEA), previously titled Provider Relations Representative, are your advocates to assist you in navigating Buckeye.They are responsible for, but not limited to:
- Network performance engagement
- Working alongside Buckeye partners and you to enhance quality and performance
- Physician and office staff orientation
- Hospital and ancillary staff orientation
- Ongoing provider education, updates and training
How to Find Your Provider Engagement Administrator
Review the sections below:
- Look for your provider type. If not listed,
- Look for the name of your group.
- If your group is not listed, look for your county.
- More populated counties are broken out by zip code across multiple administrators, look for your county/zip code.
- Click on the name listed below your group or geographical location to see your PEA contact information.
Provider Type:
Assisted Living, Hospice, Long-Term Care Facilities, Skilled Nursing Facilities
Stacey Lewis-Northrup
Provider Engagement Administrator
614-230-4302 8:00 a.m. to 5 p.m Monday - Friday
Why I like working at Buckeye Health Plan: Working with the providers and forming a relationship /assisting to solve issues and assist in any guidance needed.
Groups:
A & S Khandelwal MD, Inc., AULTMAN MEDICAL, Austin Primary Care LLC, Brewster Family Wellness Center, BS Bonyo D.O. & Associates, Inc., Care Alliance, Children's Hospital Medical Center of Akron, Clarke Family Medicine LLC, Cleveland Clinic, Community Health Care, Family Physicians Inc., Grenville Machado MD Inc., Hartville Internal Medicine Center Inc., Kreptowski Family Practice, La Salette Personal Primary Healthcare, Little Flower Family Practice, Manor Management Co Inc dba Internal Medicine Physician, My Community Health Centers, Ohio Family Practice Centers, Inc., Pax Medical Assoc Inc., Pioneer Physicians Network Inc, South Court Family Physicians Inc, Summa, Total Lifetime Care Med Affiliates Inc, Waleed F Nemer MD Inc., Yatish Goyal MD
Rebekka Glasure
Provider Engagement Administrator
614-916-1562 8:00 a.m. to 5 p.m Monday - Friday
Why Do I Like Working at Buckeye Health Plan:
Working with the providers and forming a relationship /assisting to solve issues and assist in any guidance needed.
Groups:
Cincinnati Children's Hospital Medical Center, HealthCare Connection, Kettering Health, Mercy Health, Ohio State University, OhioHealth, Rocking Horse Health Centers, TriHealth
Hermietta Rowan
Provider Engagement Administrator
614-379-9453 8:00 a.m. to 5 p.m Monday - Friday
Why Do I Like Working at Buckeye Health Plan:
I love making a difference in the provider space which will allow them to make a positive impact on our members/their patients lives. Being a provider advocate changes from one month to another so that is exciting, which allows me more opportunities to provide resources and information to support them in what they do everyday for our members.
Groups:
City Block, Lima Professional Corp, Mount Carmel, Muskinghum Valley Health Centers, Northeast Ohio Neighborhood Health
Megan Hoffman
Provider Engagement Administrator
614-881-6960 8:00 a.m. to 5 p.m Monday - Friday
Why Do I Like Working at Buckeye Health Plan:
I enjoy the opportunity to build lasting relationships with our providers so our members have access to the care they deserve!
Groups:
Community Memorial Hospital, Fulton County Health Center, Genesis Healthcare System, Lake PHO, Licking Memorial, Parkview, ProMedica, University of Toledo, Wood Health Company, Adebowale Adedipe MD, Inc., Alla Kolkin MD, Alla Sherman, MD, Andover Primary Care, Andrew Brobbey MD, Atrium Medical Group Krishnan, LLC , Atrium Medical Group Mukunda, LLC, Austintown Pediatrics, Brown Medical Center, Buckeye Family Healthcare, Chang Pediatrics Services & Associates, Inc., Charles A. Weber, MD, Comprehensive Internal Medicine, Donald Eghobamian MD, Inc., Dr. Miodrag Zivic, LLC, Edward Carrillo MD, Emmanuel Tuffuor MD, Faith Medical Associates, Great Lakes Care, Hudson Family Practice, Internal Medicine Group, James T Liang MD, Inc., Kourosh Saghafi, DO Inc., Lake Health, Lake Point Medical Group, Maguire Medical, Mahlies Internal Medicine Specialist, Med Care Group, Michael E Debs MD Inc, Myton Medical Group, Neighborhood Pediatrics, LLC, Pediatric Partners of Cleveland, Pediatric Practice, Inc., Rajesh Agarwal MD, Reema Taneja MD, Richard M King MD, Rockside Medical Associates, Romeo S. Miclat, MD, Inc., Samuel Getachew MD Inc., Sana Abumeri MD, Thomas Mandat MD, UHMG MEDICAL GROUP, UNIVERSITY PRIMARY CARE PRACTICES INC, Vlad Pediatrics
Kimberly Couch-Dreher
Kimberly.CouchDreher@CENTENE.COM
Provider Engagement Administrator
614-881-6955 8:00 a.m. to 5 p.m Monday - Friday
Why Do I Like Working at Buckeye Health Plan:
Our mission statement and the foundation of our organization: “Transforming the health of the community, one person at a time” sums it up perfectly. I’ve always wanted to work in healthcare and work with a diverse team that prioritizes patient care, but continuously look for ways to improve the member and provider experience.
Groups:
Alliance Physicians
Counties:
Carroll, Coshocton, Harrison, Holmes, Stark, Tuscarawas
Counties/Zips:
Cuyahoga: 44117, 44125, 44129, 44134, 44137, 44139, 44141, 44144, 44149, 44195
Summit: 44067, 44203, 44221, 44222, 44223, 44224, 44232, 44236, 44237, 44250, 44262, 44264, 44278, 44301, 44302, 44303, 44304, 44305, 44306, 44307, 44308, 44309, 44310, 44311, 44312, 44313, 44319, 44685, 44720
Anne Marie Dennis
Provider Engagement Administrator
614-881-6956 8:00 a.m. to 5 p.m Monday - Friday
Why Do I Like Working at Buckeye Health Plan:
I really enjoy interacting and building relationships with the different providers and having a positive impact on their experience. I enjoy being a resource and helping to solve problems. I take pride in knowing I was able to help solve the problem, and they are grateful.
Groups:
Cardinal, Cornerstone, Health Parters of Western Ohio, Wilson Care, Northern Indiana
Counties:
Allen, Auglaize, Darke, Defiance, Henry, Mercer, Paulding, Shelby, Van Wert, Williams
Counties/Zips:
Lucas: 43434, 43528, 43537, 43547, 43560, 43566, 43571, 43614, 43617
Charity Jones
Provider Engagement Administrator
419-246-1562 8:00 a.m. to 5 p.m Monday - Friday
Why Do I Like Working at Buckeye Health Plan:
I love that I get to build relationships with my provider groups and help connect them to the resources they need to solve their concerns.
Groups:
Blanchard, Cooperative Care, Neighborhood Health Associates, Wood CareNet, Michigan
Counties:
Fulton, Hancock, Hardin, Ottawa, Sandusky, Wood
Counties/Zips:
Lucas: 43604, 43505, 43606, 43607, 43608, 43609, 43610, 43611, 43612, 43613, 43615, 43616, 43620, 43623
Charmyn McKinney
Charmyn.L.McKinney@centene.com
Provider Engagement Administrator
614-881-6962 8:00 a.m. to 5 p.m Monday - Friday
Why Do I Like Working at Buckeye Health Plan:
I like working with the provider community with assisting where I can.
Groups:
Community Action Agency of Columbiana County, Third Street Community Clinic, ValleyCare Health System of Ohio
Counties:
Ashland, Columbiana, Mahoning, Medina, Richland, Seneca, Trumbull, Wayne
Counties/Zips:
Summit: 44141, 44202, 44210, 44216, 44286, 44314, 44315, 44316, 44317, 44320, 44321, 44322, 44325, 44326, 44328, 44333, 44334, 44372, 44393, 44396, 44398, 44399
Dawn English
Provider Engagement Administrator
614-881-6957 8:00 a.m. to 5 p.m Monday - Friday
Why Do I Like Working at Buckeye Health Plan:
Working directly with large and small providers to improve the health of our members one person at a time.
Groups:
Ashtabula County, Lorain County Health, Metro, PCNO, Primary Health Network, MetroHealth System, Western Reserve, Pennyslvania
Counties:
Lorain, Portage
Counties/Zips:
Cuyahoga: 44017, 44070, 44102, 44107, 44109, 44111, 44113, 44114, 44116, 44126, 44130, 44131, 44133, 44135, 44136, 44138, 44140, 44142, 44145, 44147
Summit: 44056, 44087
Gail Testa
Provider Engagement Administrator
614-881-6954 8:00 a.m. to 5 p.m Monday - Friday
Why Do I Like Working at Buckeye Health Plan:
The fact that I am able to help our members by continuing excellent relationships with our providers/partners. Customer service is one of the most important, if not the most important aspect of my role. Our providers know when we provide great service that we truly care and lead with heart and that is a great feeling.
Groups:
Dayton Childrens, Wright State, Community Health Centers of Greater Dayton
Counties:
Champaign, Clark, Preble
Counties/Zips:
Montgomery: 45309, 45325, 45327, 45342, 45343, 45345, 45354, 45404, 45408, 45410, 45422, 45423, 45424, 45430, 45441, 45448, 45449, 45458, 45459, 45463, 45469, 45470, 45475, 45479, 45481, 45482
Jason Davis
Provider Engagement Administrator
614-254-0891 8:00 a.m. to 5 p.m Monday - Friday
Why Do I Like Working at Buckeye Health Plan:
Helping our providers with tools and resources so they can give the best care possible to our members.
Groups:
Premier, Five Rivers Health
Counties:
Greene, Miami
Counties/Zips:
Montgomery: 45315, 45322, 45377, 45401, 45402, 45403, 45405, 45406, 45409, 45412, 45413, 45414, 45415, 45416, 45417, 45418, 45419, 45420, 45426, 45427, 45428, 45429, 45431, 45437, 45439, 45440, 45454, 45490
Julie Schwelbein
Provider Engagement Administrator
937-269-5351 8:00 a.m. to 5 p.m Monday - Friday
Why Do I Like Working at Buckeye Health Plan:
Working collaboratively with health care professionals and providers to transform the way healthcare is delivered to our local communities, one member at a time.
Groups:
AAHA, Adena, Holzer, Lewis County Primary Care
Counties:
Fairfield, Ross, Scioto, Pike, Gallia, Lawrence, Jackson, Vinton, Meigs, Kentucky, West Virginia
Counties/Zips:
Franklin: 43026, 43086, 43119, 43123, 43140, 43146, 43201, 43202, 43204, 43206, 43210, 43212, 43218, 43220, 43221, 43222, 43223, 43228
Lisa Hunt
Provider Engagement Administrator
614-379-9450 8:00 a.m. to 5 p.m Monday - Friday
Why Do I Like Working at Buckeye Health Plan:
I enjoy traveling and meeting with our provider partners to discuss the many services and resources Buckeye has to support them. And, specifically focusing on the quality improvement opportunities available via way of our provider incentive programs. These meeting discussions strengthen our partnership and are pivotal in achieving and delivering quality healthcare services to our diverse membership.
Groups:
Columbus Neighborhood, Equitas Health, Heart of Ohio Family Health Centers
Counties:
Fayette, Hocking, Licking, Madison, Perry, Pickaway
Counties/Zips:
Franklin: 43002, 43016, 43017, 43081, 43085, 43203, 43205, 43211, 43214, 43215, 43219, 43224, 43229, 43231, 43235
Quiana Todd
Provider Engagement Administrator
614-379-9454 8:00 a.m. to 5 p.m Monday - Friday
Why Do I Like Working at Buckeye Health Plan:
I love knowing that with each positive provider experience our members are being well taken care of. Getting to meet with different provider groups and forming partnerships with them to ensure not only are their needs met but also the needs of our members is a definite highlight!
Groups:
Nationwide Children's, Marietta Memorial
Counties:
Athens, Belmont, Guernsey, Jefferson, Monroe, Morgan, Muskingum, Noble, Washington, West Virginia
Counties/Zips:
Franklin: 43004, 43054, 43068, 43110, 43125, 43137, 43147, 43207, 43209, 43213, 43217, 43227, 43230, 43232
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Rebecca Morrison
Provider Engagement Administrator
614-379-9452 8:00 a.m. to 5 p.m Monday - Friday
Why Do I Like Working at Buckeye Health Plan:
Educating our Provider Network and demonstrating Buckeye’s many services and resources that support them in providing quality care to our Members always puts a smile on my face.
Groups:
Nationwide Children's, Marietta Memorial
Counties:
Athens, Belmont, Guernsey, Jefferson, Monroe, Morgan, Muskingum, Noble, Washington, West Virginia
Counties/Zips:
Franklin: 43004, 43054, 43068, 43110, 43125, 43137, 43147, 43207, 43209, 43213, 43217, 43227, 43230, 43232
Sheree Hamilton
Provider Engagement Administrator
614-881-6964 8:00 a.m. to 5 p.m Monday - Friday
Why Do I Like Working at Buckeye Health Plan:
I love the autonomy of my role.
Groups:
The Christ, University of Cincinnati, Talbert House dba Centerpoint
Counties:
Butler, Clinton, Warren, Kentucky
Counties/Zips:
Hamilton: 45001, 45002, 45030, 45033, 45051, 45052, 45203, 45204, 45205, 45211, 45214, 45215, 45220, 45221, 45222, 45223, 45224, 45225, 45231, 45232, 45233, 45234, 45238, 45239, 45246, 45247, 45248, 45250, 45258, 45263, 45264, 45267, 45299
Contact Provider Services at: 866.296.8731
Counties:
Ashtabula, Geauga, Lake
Counties/Zips:
Cuyahoga: 44022, 44101, 44103, 44104, 44105, 44106, 44108, 44110, 44112, 44115, 44118, 44119, 44120, 44121, 44122, 44123, 44124, 44127, 44128, 44132, 44143, 44146
Marilyn Garner
Provider Engagement Administrator
614-881-6958 8:00 a.m. to 5 p.m Monday - Friday
Why Do I Like Working at Buckeye Health Plan:
I love this job gives me the opportunity to assist my Provider Community.
Counties:
Delaware, Knox, Union, Marion, Morrow
Debbie Huffman
Provider Engagement Administrator
614-881-6965 8:00 a.m. to 5 p.m Monday - Friday
Why Do I Like Working at Buckeye Health Plan:
The work we do helps benefit the members we cover and also the providers.
Managers
Char Brubaker
8:00 a.m. to 5 p.m Monday - Friday
charlene.m.brubaker@centene.com
What I like about working at Buckeye:
Having the pleasure to work alongside a team that takes pride in working with our providers to improve the provider and member experience.
Mary Beth Carlson
8:00 a.m. to 5 p.m Monday - Friday
MaryBeth.Carlson@centene.com
What I like about working at Buckeye:
Working with a team that is focused on doing the right thing for the members and providers.